0800-02-30-.04
Available Benefits
Cite as Tenn. Comp. R. & Regs. 0800-02-30-.04
(1)
The following benefits may be provided to an eligible employee: temporary disability benefits
up to $20,000.00; and medical benefits up to $20,000.00, to include a medical causation
evaluation, mileage reimbursement, and attorney’s fees, if applicable.
(2)
The maximum benefit for an eligible employee is $40,000 for all benefits which includes:
UNINSURED EMPLOYERS FUND BENEFITS
CHAPTER 0800-02-30
(a)
Temporary disability benefits (includes attorney fees which are only paid on temporary
disability benefits) and
(b)
Medical benefits (includes medical care expenses, causation evaluations and mileage
reimbursement).
If less than $20,000 is paid for either temporary disability benefits or medical benefits,
the remaining amount may be applied to the other category of benefits. This will require
a written request from the employee to the Administrator who will make a decision on
the request and will provide a written response to the employee.
(3)
The cost of a medical causation evaluation may be paid by the Fund at the discretion of the
Administrator. If the Court should order any benefits to be paid by the employer, such
benefits will not be payable from the Fund, unless the UEF Benefit Fund claim is approved by
the Administrator.
(4)
Reasonable mileage reimbursement may be paid to an eligible employee subject to
applicable state employee maximums; however, any amount paid shall be within the
aggregate $40,000 statutory limit as provided in T.C.A. § 50-6-802(c).
(5)
All medical costs must be paid under the Medical Fee Schedule pursuant to Rules 0800-02-
17, 0800-02-18 and 0800-02-19. The Bureau shall have the authority to waive this
requirement when necessary to provide treatment for an injured employee, as provided in
T.C.A. § 50-6-204.